Basic Information
| Provider Information | |||||||||
| NPI: | 1033593959 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NAOMI CASEMENT LMSW, CAADC LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26354 WEXFORD DR | ||||||||
| Address2: | |||||||||
| City: | WARREN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480913991 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8109645400 | ||||||||
| FaxNumber: | 5865104800 | ||||||||
| Practice Location | |||||||||
| Address1: | 2265 LIVERNOIS RD | ||||||||
| Address2: | SUITE 260 | ||||||||
| City: | TROY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480831633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8109645400 | ||||||||
| FaxNumber: | 5865104800 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2015 | ||||||||
| LastUpdateDate: | 07/10/2015 | ||||||||
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| AuthorizedOfficialLastName: | CASEMENT | ||||||||
| AuthorizedOfficialFirstName: | NAOMI | ||||||||
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| AuthorizedOfficialTitleorPosition: | CLINICAL PSYCOTHERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 8109645400 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LMSW CAADC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 6801046112 | MI | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.